| NPI | 1821740259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M. WALDRON Director 757-559-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP1600X Counselor Pastoral | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-28 |